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Drug interactions

Fenoprofen + Fludrocortisone

Severity: Moderate

Fenoprofen and Fludrocortisone: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Corticosteroids combined with NSAIDs increase the risk of GI ulceration and bleeding. Fludrocortisone also causes sodium and fluid retention, which can be worsened by NSAIDs and may raise blood pressure.

What this interaction means in plain words

Fenoprofen and Fludrocortisone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Fenoprofen belongs to Musculoskeletal; Fludrocortisone belongs to Endocrine.

Evidence level: Moderate

Why it happens

Additive GI mucosal injury plus combined sodium and water retention from mineralocorticoid action and NSAID renal prostaglandin inhibition.

What to do

Monitor blood pressure, edema and electrolytes, and consider a proton pump inhibitor if the combination is needed long term. Use the lowest effective NSAID dose.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Fenoprofen with Fludrocortisone?

MediHelp rates the interaction as moderate. Fenoprofen and Fludrocortisone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Corticosteroids combined with NSAIDs increase the risk of GI ulceration and bleeding. Fludrocortisone also causes sodium and fluid retention, which can be worsened by NSAIDs and may raise blood pressure.

How serious is the interaction between Fenoprofen and Fludrocortisone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure, edema and electrolytes, and consider a proton pump inhibitor if the combination is needed long term. Use the lowest effective NSAID dose.

What other medicines interact with Fenoprofen?

MediHelp also lists interactions of Fenoprofen with, for example, Ketorolac, Ketorolac intranasal, Aceclofenac. The full list is on the Fenoprofen page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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